Not really: 0.5 cm nodal lesion is about 1/4 inch. Most of the pathologic lymph nodes don't appear in the occipital region which drains the back of the scalp. they appear along the jugular chain usually not as a single small nodule. This could be lipoma, fibroma, neuroma. If it enlarges and is very firm, then a bx would be performed. Otherwise warm soaks to the area could resolve the problem.
Answered 8/11/2020
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